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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(2):198-203.
Assessment of Bladder Function in Adults with Cerebral Palsy; A Preliminary Study.
Park, Eun Sook , Park, Chang Il , Cho, Sung Rae , Shin, Ji Cheol , Na, Sang il , Choi, Jong Eun , Ahn, So Young
Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. loup@mdhouse.com
뇌성마비 성인의 방광기능 평가
박은숙, 박창일, 조성래, 신지철, 나상일, 최종은, 안소영
연세대학교 의과대학 재활의학교실 및 재활의학연구소
Abstract
Objective
The aim of this study was to evaluate the bladder function in adults with cerebral palsy (CP).


Method
Thirteen adults with CP were participated in this study. Nine of these thirteen subjects had urological symptoms. The urological history taking, urine analysis, urine culture, voiding cystourethrography (VCUG) and urodynamic study were done.


Results
The urinary incontinence was the most common presenting symptom. All subjects without urological symptoms showed normal urodynamic findings. Eight of the subjects who had urological symptoms had abnormal findings on urodynamic study. All subjects showed normal findings on voiding cystourethrography. Based on urodynamic findings, six subjects were treated with anticholinergic drug and five (83.3%) of these subjects showed improvement of their urological symptoms.


Conclusion
Many adults with CP might have the problems in urination. Our study showed that many symptomatic subjects had abnormal urodynamic findings and much of these urological symptoms was improved with proper treatment. These adults with CP would, therefore, benefit from proper assessment and treatment, expecially in the subjects who have urological symptoms. (J Korean Acad Rehab Med 2003; 27: 198-203)

Key Words: Cerebral palsy, Urodynamic study, Neurogenic bladder, Urinary dysfunction


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